HomeMy WebLinkAboutCentral Air Conditioning 2015 Field Inspection Notice
Town of Montville
Building Department
860-848-3030 Ext. 382
Address: 40 Podurgiel Lane
Job Description: Add Central A/C to Existing Hot Air Furnace
Permit Number(s) M2015-0137 Permit Date: September 21, 2015
Not Approved Approval
INSPECTION Date: Comments Special Date
Conditions
•Condenser 9/21/15 DJ
Furnace • •
9/21/15 DJ
•
•
Final inspection for • •
certificate of approval • 9/21/15 DJ
Rev.Date:1/18/06
Page 1 of 1
TOWN OF MONTVILLE
Building Department
310 NORWICH-NEW LONDON TURNPIKE
UNCASVILLE, CT 06382-2599
TEL. (860)848-3030 X382 FAX. (860)848-7231
MECHANICAL PERMIT
Permit Number:J015=0133 Date: 21-Sen-15 Map/Lot: 103/0061100 Owner ID: 5565000
Project Location: 40 PODURGIEL LANE Unit:
Job Description: _Add Cegi[al ALC_to Exisfir_q_ELotA r_Ettnace
Owner Nam Charles P.Scooelitis Tenant Name jblziA
Careof:
.151_Derry HiILRao i
_Uncasville CT -063B2- Telephone:18601£i4R nm 2
Applicant Name _William Trantalis Telephone: 18.60)367-6687
DBA: .IFT RPfriaeration _ Lic/Reg Type D1
Lic/Reg N 3527
x.15 Rixtown Road Exp Date: 31_Atial6_
Griswold CT 06351-
roosfn,Ction vaiiio P_e mitF_41ee CQastrlictianinto atinn
Building Value: SO 00 Building Fee: S0_00 Use Group: IRC
Plumbing Value: S0.00 Plumbing Fee: MOO Code: 2005 State Building Code
Mechanical Valu 50,00 Mechanical Fe Sj,00
Electrical Value: Sano Electrical Fee: SDQO Construction Type IRC
Total Value: SO_00 Penalty Fee: sun Permit Code: R5
C of 0 Fee: MOD Comment
Plan Review Fe 51100 Fees Included with Electrical Permit
State Ed Fee: MOLL_
Total Fee Paid: $0.00
It shall be the owners repsonsibility to schedule the following inspections a minimum of 2 business days in advance:
Field set of approved construction documents shall be available onsite during all inspections.
BUILDING PERMIT INSPECTIONS PLUMBING,MECHANICAL,ELECTRICAL PERMIT INSPECTIONS
❑ Footing-Prior to pouring concrete ❑ R Plumbing and leak test
❑ Deck Piers ❑ R Electrical
❑ Backfill-Footing drains and waterproofing ❑ Elec Trench-with conduit installed
❑ Concrete Slab-Prior to pouring concrete ❑ Pool Bonding
❑ Anchor Bolts-with sill plate and prior to floor frami ❑ Electrical Service CRS No: 0
❑ Framing Fi R HVAC
❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test
❑ Fireblocking Drafistopping INSPECTION REQUIRED UPON COMPLETION
❑ Insulation - a of Approval
i♦ Cate,of ecavpeFtey
_BuildinoAffcial's Aonroval:
Town of Montville
Building Department
310 Norwich-New London Tpke.
Tel. 860-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231
RESIDENTIAL PERMIT APPLICATION FORM Permit No.: Mann-01,-2P
Type of Work Occupancy Type Permit Type
❑New Construction in Single Family 0 Building
❑Addition 0 Two-Famlly lUll Plumbing
®Alteration 0 TownhouseMechanical
0 Accessory Structure 0 Electrical CRS#:
Property Address: 40 Podurgiel Lane
(Number) (Street) (Unit)
Job Description: add central air conditioning to existing hot air furnace
Owner: Charles Scopelitis
Address: 151 Derry Hill Road
City:
Uncasville State: CT Zip Code: 06382 Telephone( 860 ) 848 _ 0019
Installer
AppRomix William Trantalis
JET Refrigeration
DBA:
Address: 115 Rixtown Road
City: Griswold State: CT Zip Code: 06351 Telephone( 860 ) 376 _ 6687
Contractors - Complete the Following:
HTG. 0388727-D1 SHM. 0002782-SMI 8/31/2016
License Type. License No.: Expiration Date:
I hereby certify that the proposed work will conform to the State Building Code and all other codes as adopted by the State of Connecticut and the Town
of Montville and further attest that the proposed work is authorized by the owner in fee and that I am authorized to make application for a
permit for such work as described above.
By checking this box, I will follow the requirements of the 2005 NEC as the alternative compliance per section E3301.2.1 of the Residential Code,
instead of the electrical requirements in chapters 33 through 42 of the Residential Code.
Owner/Agent Signature: Date: /
Construction Value Permit Fees
Building Value: Building Fee:
Plumbing Value: Plumbing Fee:
Mechanical Value: / 200 !moo Mechanical Fee:
Electrical Value: Electrical Fee:
Total Value: Penalty Fee:
C of 0 Fee:
Plan Review Fee:
State Ed Fee:
Total Fee:
are�y[ugust 23,2007
UAL) State of Connecticut N
7A
Workers' Compensation Commission
Please TYPE or PRINT IN INK '
tMzzliir
Proof of Workers' Compensation Coverage when Applying
for a Building Permit for the Sole Proprietor or Property Owner
who WILL NOT act as General Contractor or Principal Employer
APPLICANT FOR BUILDING PERMIT
Name of Applicant for Building Permit Charles S c op e l i t i s
40 Podurgiel Lane
Property located at
Uncasville, CT 06382
in the City/Town of
ATTEST
If you are the owner of the above-named property or the sole proprietor of a business doing work on tfie site of the construction project at the above-named
property and you WILL NOT act as the general contractor or principal employer,you are not required to have workers'compensation insurance coverage.
CHECK ONE(1) BOX ONLY and complete the following:
E
y
U I am the OWNER of the above-named property.I WILL NOT ad as the general contractor or principal employer.
C46 -
Signature of OWNER Applicant--
❑ I am the SOLE PROPRIETOR of a business doing work at the above-named property.I WILL NOT act as the general contractor or principal employer.
Name of Business
Federal Employer IDS'(FEIN)
Signature of SOLE PROPRIETOR Applicant
Town of Montville
Building Department
CONSTRUCTION PERMIT APPROVAL
Applicant is responsible for obtaining all of the required approvals. No permit will be issued until all the required signatures are obtained.
P b,? j 1 i ,cJeri
Property Address
Ai 2, /c rrDescription'� 4t'
J
Required Department Permit Issuance Approval
Approval
Tax Collector
Signature/date
Comments:
Planning & Zoning cil/Z1(j
Signature/date
Comments:
Fire Marshal /g/_5-
Signature/
g ISignature/date
Comments:
❑ Health Department
Required for properties with private septic or well •
Comments:
WPCA, Administrative j(,t��OU j Ohs-
Required for properties on sewer Signature/date
Comments:
El WPCA, Operations
When Required by WPCA Signature/date
Comments:
❑ Department of Public Works
Required when protect includes driveway work or certain drainage requirements Signature/date
Comments:
[ Montville Police Department
Required for all permits EXCEPT one and two family residential Signature/date
Comments:
❑ State Dept. of Transportation
Required for Structures over 100,000 sq.ft.or with more than 200 parking spaces-Official copy of STC Certificate of Operation required-per
CGS 14-311
Signature/date
Building Department Review Complete
Signature/date
RevireIMay 23,2011